{config_load file="$language/lang.conf" section="ask_a_question"}
<div class="big-po-p-up">
<div class="big-po-p-up-content">


{if $error!=''}
	<div class="notification error br6 png_bg">
		<a href="#" class="close">close</a>
		<div>{$error}</div>
	</div>
{/if}

{$FORM_ACTION}
<div class="content-block">
	<div class="gray-title-top">
		<div class="b-left"></div>
			<span class="bold tsb">{#title_question#}</span>
		<div class="b-right"></div>
	</div>
	<div class="con-cen">
		<div class="content-text">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td>{#model#}&nbsp;{$PRODUCTS_MODEL}</td>
	<td>{#name#}&nbsp;{$PRODUCTS_NAME}</td>
  </tr>
		<tr>
		  <td>{#text_sec_code#}</td>
		  <td>{$CAPTCHA_IMG}</td>
		</tr>
		<tr>
		  <td>&nbsp;</td>
		  <td><b><font size="1" color="#0B3168">{#text_ask_a_question_help#}</font></b></td>
		</tr>
		<tr>
		  <td>{#text_inp_code#}</td>
		  <td>{$CAPTCHA_INPUT}</td>
		</tr>
        <tr> 
          <td>{#text_firstname#}</td>
          <td>{$INPUT_FIRSTNAME}</td>
        </tr>
        <tr> 
          <td>{#text_lastname#}</td>
          <td>{$INPUT_LASTNAME}</td>
        </tr>
		<tr> 
          <td>{#text_email#}</td>
          <td>{$INPUT_EMAIL}</td>
        </tr>
        <tr>
          <td valign="top">{#text_message#}</td>
          <td>{$INPUT_TEXT}</td>
        </tr>
		<tr>
		  <td></td>
		  <td align="right"></td>
		</tr>
      </table>
			<div class="clear"></div>
			<div class="content-foo-menu">
				<span class="fl">{$BUTTON_CONTINUE}</span>
				<span class="fr frt">{$BUTTON_SUBMIT}</span>
				<div class="clear"></div>
			</div>
		</div>
	</div>
	<div class="con-foo"><div class="sb-left"></div><div class="sb-right"></div></div>
</div>

</div>
</div>
{$FORM_END}
